Hygiene and personal care

Question 1

what is halitosis?

Answer 1

bad breath caused by bacteria because of no oral care

Question 2

what is excoriation

Answer 2

red scaly ares caused by skin exposure to bodily fluids (stool, urine, gastric juices)

Question 3

where is excoriation located

Answer 3

axillary, pendulous breasts, abdominal folds, buttocks

Question 4

what is alopecia

Answer 4

loss or absence of hair caused by genetics, certain illness, effects of drugs (chemo)

Question 5

what should you do for a pt that has alopecia

Answer 5

educate, resources, self-esteem

Question 6

what is pediculosis

Answer 6

contagious scalp infection/lice

Question 7

symptoms of pediculosis

Answer 7

itching, redness, secondary bacertia infections if untreated

Question 8

what is shear

Answer 8

force where skin is pulled in parallel direction

Question 9

examples of shear

Answer 9

skin sticks to linens but body moves down
pulling bones of pelvis one way, skin moves another

Question 10

what increases shear injury

Answer 10

moving HOB

Question 11

what is friction

Answer 11

force when skin is dragged across surface

Question 12

examples of friction

Answer 12

sliding across bed to trader cart: skin adherence to outside surface is increased

Question 13

what are contributing factors to friction

Answer 13

elderly, uncontrollable movements, braces or appliances rubbing skin

Question 14

what are some alteration in self care

Answer 14

illness, surgery, immobility, cognitive dysfunction

Question 15

what do you do when pts have alterations in self care

Answer 15

ask for what type of assistance they need: independence is key

Question 16

what should you consider with older adults

Answer 16

drier, thinner skin, dentures need to fit properly, dry mouth is common

Question 17

what is common with denture problems

Answer 17

pain, discomfort, digestive issues, poor nutritional status

Question 18

what are the diversity considerations

Answer 18

life span, gender, culture, ethnicity, religion, disability

Question 19

when do you inspect hair, skin, nails and oral cavity

Answer 19

before and during bath, ask about them

Question 20

what all do you assess

Answer 20

ADL’s, poor hygiene=infection

Question 21

what is the purpose of bathing

Answer 21

cleanse, stimulate circulation, relax, enhance healing

Question 22

can bathing be delegated to UAP

Answer 22

yes

Question 23

what are the types of baths

Answer 23

complete, partial, therapeutic

Question 24

what is a complete bath

Answer 24

pt does not help

Question 25

what is a partial bath

Answer 25

pt can perform part of bath

Question 26

what is a therapeutic bath

Answer 26

promote comfort and provide treatment (after L+D, sooth itchy skin)

Question 27

what should you do when bathing

Answer 27

allow rest periods and assess skin on back and buttocks for redness

Question 28

how often should you give baths

Answer 28

Q24

Question 29

what is a CHG bath used for

Answer 29

reduce risk of HAI for pts at high risk of infection

Question 30

who uses CHG baths

Answer 30

cancer, post op, wounded, lines or drains (central lines, catheters)

Question 31

what pt needs help with oral care

Answer 31

hospice, infants, comatose, vented, sedated, quadriplegic

Question 32

what is the nurses responsibility for oral care

Answer 32

check for aspiration, impaired swallowing, and decreased gag reflex before care, clean dentures, suction in place for unconscious pts

Question 33

what position should unconscious pts be in when oral care is provided

Answer 33

to the left or right: nothing goes down throat

Question 34

how often should oral care be done

Answer 34

Q12

Question 35

what do you do for diabetic pts feet

Answer 35

inspect daily, lukewarm water +dry thoroughly, avoid moisture between toes, cotton socks, file nails, comfortable shoes, no heat

Question 36

what is important with hair care

Answer 36

cultural and personal preferences and sense of well-being

Question 37

what is the nurses responsibility with hair care

Answer 37

brush daily, soft bristle brush, shampoo caps for pts who can't stand

Question 38

what are nurses responsibilities with shaving

Answer 38

electric razors for pts prone to bleeding/on anticoagulants, communicate about preferences

Question 39

how often should you reposition your pt

Answer 39

Q2

Question 40

how should you wash females

Answer 40

front to back

Question 41

what type of toothbrush should you use for pts on anticoagulants

Answer 41

soft-bristled